Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaewon Kim

Individual provider Occupational Therapy Assistant · NPI 1902353204

Jaewon Kim is an Occupational Therapy Assistant in Buena Park, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7400 Artesia Blvd Apt 1107
Buena Park, CA 90621-3963
Phone: (808) 636-0094
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA3462 (CA)

Record details

NPI number1902353204
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 2, 2016
Last updated in NPPESSeptember 2, 2016
Mailing address7400 Artesia Blvd Apt 1107, Buena Park, CA 90621

Other providers in Buena Park